| NPI | 1851000343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CT 1976) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CT 001976) |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2023-11-08 |